James Claudius Degueurce III, MD

Key facts

NPI

1184886483

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

License

011893 (LA)

Practice address

4927 Camp Joy Rd
Haughton, LA 71037-8676

Phone

(318) 987-0499

Fax

(318) 987-2521

NPI assigned

Jun 27, 2008

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Medicine

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 27, 2008.

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1184886483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 CAMP JOY RD",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710378676",
            "telephone_number": "318-987-0499",
            "fax_number": "318-987-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 CAMP JOY RD",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710378676",
            "telephone_number": "318-987-0499",
            "fax_number": "318-987-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUEURCE",
        "first_name": "JAMES",
        "middle_name": "CLAUDIUS",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "011893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Haughton, LA · Obstetrics & Gynecology Physician in Louisiana